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Rhinoplasty

Synonyms: Rhinoplasty, Nose job

Esthetic surgery of the nose entails a surgical treatment of the nose in order to achieve a better looking nose and overall harmony of the face. It often includes the solution to breathing difficulties which come from a deviated septum.

Esthetically, nose can be corrected in the sense of size, shape, tip and profile.

Before

After

Who is a candidate?

Any person who is over 18 years of age and is dissatisfied with the size or shape of their nose. Persons who have sustained a nose deforming injury. Persons with breathing difficulties derived from a deviated/deformed septum. .

What should be known before deciding on this procedure?

If you have unrealistic expectations, there is a chance that you will be dissatisfied with the appearance of your new nose. You should also know that repeat surgeries are sometimes necessary in order to achieve the desired appearance..

What does the procedure look like?

The basis of every nose surgery is separating the skin from the deeper structures (bones and cartilage), then remodeling the deeper solid structures and then reattaching the skin to them.

Type of anesthesia?

General anesthesia, only in case of nasal tip surgery it can be local anesthesia.

Post op

In the early post op period, there will almost always be swelling, slight bruising, odd sensations in the operated region. These changes will mostly go away within one week of the surgery.

It’s necessary to get accustomed to breathing through your mouth for 3 to 5 days, during the time in which the tampons are inserted in the nose (patients get used to it after 6 to 8 hours). This procedure is also followed by dryness of the mouth, which can be easily resolved by regular intake of fluids .

Care and treatment after the procedure?

After surgery, tampons are inserted in the nose which stay there for 3 to 5 days, and the immobilizing cast is worn from day 3 to day 7. In most cases the sutures fall out by themselves, in rare occasions is it necessary to remove the sutures after 7 to 10 days.

Smokers are in need of stopping smoking until complete healing. .

Post op complications

Nose bleeding and infections of the nose are a possibility. These occurrences are rare and they are easily resolved, without consequences to the effects of the surgery itself..

Results

First result that you will be able to see is after the immobilizing cast is removed, then you can see if the position and profile of the nose have been corrected. After 3 to 4 weeks the results will significantly improve, because that’s when most of the swelling will go down, and the nose looks much thinner and more subtle. The appearance of your nose will improve more and more for the next 6 months.

The final result can be expected after 6 months, and it will be permanent.

Experience at ORS Hospital

On patients that have the surgery done early, before 18 years of age, there is almost always a need for small corrections because the nose continues to grow after the first surgery.

On patients who had the surgery before 25, there is a certain number of cases that needed to have corrective procedures on the tip region of the nose after a few years.

On other patients corrective procedures were very rarely needed.

Of all the surgeries done, there was one occurrence of bleeding 3 days after surgery, which was easily resolved by correcting the placement of the tampon. Other complication was an infection of the nose from inflamed sebaceal glands, it spontaneously subsided immediately after removing the immobilizing cast. There were no serious complications .

Frequently asked questions

How long does the procedure take?

The procedure takes from one to one and a half hours..

How much downtime?

Time off work usually is between 7 and 14 days.

How long is the hospital stay?

You stay at the hospital for a day or two.

Is there a best period of the year for the procedure?

It can be done anytime of the year, but it’s best not to do it in flu season..

Does it hurt after the procedure?

There is no pain after the procedure.

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